A pediatrician speaks out. From the
Daily Signal:
Pediatric “gender clinics” are considered elite centers for affirming
children who are distressed by their biological sex. This distressful
condition, once dubbed gender identity disorder, was renamed “gender
dysphoria” in 2013. In 2014, there were 24 of these gender clinics, clustered chiefly along the east coast and in California. One year later, there were 40 across the nation.
With 215 pediatric residency programs
now training future pediatricians in a transition-affirming protocol
and treating gender-dysphoric children accordingly, gender clinics are
bound to proliferate further. Last summer, the federal government stated that it would not require
Medicare and Medicaid to cover transition-affirming procedures for
children or adults because medical experts at the Department of Health
and Human Services found the risks were often too high, and the benefits
too unclear. Undeterred by these findings, the World Professional Association for
Transgender Health has pressed ahead, claiming—without any evidence—that
these procedures are “safe.”
Two leading pediatric associations—the American Academy of Pediatrics
and the Pediatric Endocrine Society—have followed in lockstep,
endorsing the transition affirmation approach even as the latter
organization concedes within its own guidelines that the
transition-affirming protocol is based on low evidence. They even admit that the only strong evidence regarding this approach is its potential health risks to children.
The transition-affirming view holds that children who “consistently
and persistently insist” that they are not the gender associated with
their biological sex are innately transgender. (The fact that in normal life and in psychiatry, anyone who
“consistently and persistently insists” on anything else contrary to
physical reality is considered either confused or delusional is
conveniently ignored.)
The transition-affirming protocol tells parents to treat their
children as the gender they desire, and to place them on puberty
blockers around age 11 or 12 if they are gender dysphoric. If by age 16, the children still insist that they are trapped in the
wrong body, they are placed on cross-sex hormones, and biological girls
may obtain a double mastectomy. So-called “bottom surgeries,” or genital reassignment surgeries, are
not recommended before age 18, though some surgeons have recently argued
against this restriction.
The transition-affirming approach has been embraced by public
institutions in media, education, and our legal system, and is now
recommended by most national medical organizations. There are exceptions to this movement, however, in addition to the
American College of Pediatricians and the Alliance for Therapeutic
Choice. These include the Association of American Physicians and
Surgeons, the Christian Medical & Dental Associations, the Catholic
Medical Association, and the LGBT-affirming Youth Gender Professionals. The transgender movement has gained legs in the medical community and
in our culture by offering a deeply flawed narrative. The scientific
research and facts tell a different story. (Read more.)
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